Individual
MRS. KAITLIN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
435 2ND ST, NEWPORT, TN 37821-3703
(865) 607-4910
Mailing address
3318 COSBY HWY, COSBY, TN 37722-2828
(865) 607-4910
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
0000001617
TN
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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